Dr Vithalji Jerambhai Modha, MD | |
2277 Iowa Ave, Independence, IA 50644-9106 | |
(319) 334-2583 | |
(319) 334-5252 |
Full Name | Dr Vithalji Jerambhai Modha |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2277 Iowa Ave, Independence, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013964279 | NPI | - | NPPES |
0045989 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 26184 (Iowa) | Primary |
Entity Name | Mental Health Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023069440 PECOS PAC ID: 5496646978 Enrollment ID: O20040323001515 |
Mailing Address | Practice Location Address |
---|---|
Dr Vithalji Jerambhai Modha, MD 2277 Iowa Ave, Independence, IA 50644-9106 Ph: (319) 334-2583 | Dr Vithalji Jerambhai Modha, MD 2277 Iowa Ave, Independence, IA 50644-9106 Ph: (319) 334-2583 |
Dr. Muhammad Afzal Chowdhry, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2277 Iowa Ave, Independence, IA 50644 Phone: 319-334-2583 Fax: 319-334-5252 | |
Dr. Marvin Franklin Piburn Jr., MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2277 Iowa Ave, Independence, IA 50644 Phone: 319-334-2583 Fax: 319-334-5252 | |
Hannah Oliver, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2277 Iowa Ave, Independence, IA 50644 Phone: 319-334-2583 | |
Dr. Bhasker Jethalal Dave, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2277 Iowa Ave, Independence, IA 50644 Phone: 319-334-2583 Fax: 319-334-5252 | |
Dr. Rasiklal V Patel, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2277 Iowa Ave, Independence, IA 50644 Phone: 319-334-2583 Fax: 319-334-5252 |